Author: Jay Khadpe MD

Editor in Chief of "The Original Kings of County" Assistant Professor of Emergency Medicine Assistant Residency Director SUNY Downstate / Kings County Hospital

Morning Report: 9/25/12

Thank you to Dr. Melendez for today’s Morning Report!   Thyroid Storm   Patients may have a known history of thyrotoxicosis. In the absence of previously diagnosed thyrotoxicosis, the history may include symptoms such as irritability, agitation, emotional lability, a…

Morning Report: 9/21/2012

Thanks Dr. Coquillon for today’s Morning Report!   Alteplase: Mechanism of Action Recombinant human tissue-type plasminogen activator (t-PA); produces local fibrinolysis Promotes thrombolysis by converting plasminogen to plasmin which degrades fibrin and fibrinogen Pharmacokinetics Initial Half-Life: 5 minutes (free unbound…

Morning Report: 9/18/2012

Today’s Morning Report comes courtesy of Dr. Melendez:   Posterior Knee Dislocation   Approximately 30 percent rate of amputation because the popliteal artery is interrupted and sometimes goes unrecognized In some instances, a knee will dislocate and relocate prior to medical…

Morning Report: 9/7/2012

Thanks to Dr. Semenovskaya for today’s Morning Report!   Heat Illness   Heat Illness comprises a spectrum of disorders caused by environmental heat exposure. Can be subdivided into three relative stages:   1) Heat Cramps: Heavy sweating; muscle cramps and…

Morning Report: 9/6/2012

Here’s another Morning Report from Dr. Cioe. Man, is this guy ever coming back from Africa?!   Notes from Princess Marina Hospital, Gaborone, Botswana   Ketamine Sedation in the ED:   A 6 year old HIV positive child presents to…

Peds in a Pod: Myocarditis

Here’s another edition of Peds in a Pod courtesy of Dr. Melendez! It’s that time of the year when all of the kids go back to school and the peds ED fills up because germs are now being spread from…

Morning Report: 8/31/2012

Today’s Morning Report comes from our Save of the Month recipient Dr. Melton! “Please evaluate for projectile vomiting” A 17 day old baby boy with no significant birth history is sent in by his pediatrician for evaluation of projectile vomiting.…

Save of the Month! August 2012

Welcome to a new addition to the TOKC blog! Each month we are going to recognize a resident who went above and beyond to make a great save in the ED. We are soliciting nominations from the faculty each block…